Organization
INTEGRATIVE PEDIATRIC GI AND LIFESTYLE MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIMA JIBALY MD (OWNER)
(201) 931-5713
Entity
Organization
Contact information
Practice address
1123 VILLA LINDE CT STE 38, FLINT, MI 48532-3410
(810) 733-7221
(810) 733-7280
Mailing address
7408 WATERFALL DR, GRAND BLANC, MI 48439-7102
(201) 931-5713
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
—
—
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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